SW6140902_Transfer Application_20210513

May 13, 2021
NCDEQ Land Quality Section
Attn: Mike Lawyer
225 Green Street, Suite 714
Fayetteville, NC 28301
RE: Storm Pond Transfer Application Package, Blackbridge Village, Hope Mills, North
Carolina
Mike;
We are submitting the storm water permit transfer application package for Blackbridge
Village. A pdf of the package has been emailed to you. The $505 application fee is also
enclosed.
I look forward to working with you on this project. If you have any questions or
comments, please contact me at your earliest convenience.
Sincerely,
4D Site Solutions Inc.
Scott Brown, PE
[e-mail]
Enclosure
64',I w/ eo tAwss
t&'xj
?fo , 331 - 6330
65'12(ce1��
409 Chicago Drive, Suite 112, Fayettevitte, NC 28306
office 1 910-426-6777 fax [phone]
On time, every time. 1 www.4Dsitesolutions.corn

Date Received
Fee Paid
Permit Number.
VED
NC DEQ Division of Energy, Mineral and Land Resources 13
STATE STORMWATER: MAY L) 2021
PERMIT TRANSFER APPLICATION FORM
DEMLR
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference Witflyef %vine Redio al
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deq.nc.pov/contact/repional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or .
3. in the case where a transfer falls under G. S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager; (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.10,40) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee;
• Partnership or limited partnership - the general partner,
• Sole proprietor,
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION

UEMLK USE ONLY
Date Received Fee Paid Permit Number
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deg.nc.gov/contact/regional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G. S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager, (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee;
• Partnership or limited partnership - the general partner;
• Sole proprietor,
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
State Stormwater Permit Number: S6140902
Project name: Blackbridge Village Subdivision
Is this an updated project name from the current permit? ❑ Yes ® No
Reason for the permit transfer request:
Property is being transferred from the original developer to the HOA
mro
MAY 112021
DEMLR
Fayetteville Regional Office
Stormwater Permit Transfer Application Form Page 1 of 7 April 27, 2018

B. PERSON(S) WHO HAVE SIGNED THIS FORM (select only one response below)
® 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143-214.7(c2,) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked. -
El Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
❑ 3. Only the proposed permittee (skip Part D below).
In accordance with G. S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked. -
El a. The proposed permittee is either (select one of the following):
❑ The successor -owner who holds title to the property on which the permitted activity is
occurring or will occur;
❑ The successor -owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other (please explain):
❑ c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
Stormwater Permit Transfer Application Form Page 2 of 7 April 27, 2018

C. SUBMITTAL REQUIREMENTS
Please mark "Y' to confirm the items are included with this form. Please mark X" if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. A processing fee of five hundred and five dollars ($505.00) per G.S. 143-215.3D(e)(2).
Y 2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
Y 3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the -propo__sed-permittee-is a_legal and _v_iable_entity_able to conduc#
-__--business in North Carolina.)
Y 4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s) from the proposed permittee, as required by the permit.
Y 5. Legal documentation that the property has transferred to the proposed permittee (such as s_ -
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the-proposed-permittee is th-e sole_ -_claimant of the right to
_--_e-nga9e_in thepermitted activity
X 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
Y 7. copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -upon area or the maximum
allowed total built -upon area has not been exceeded. If the project has not been built, the new,
owner shall_ provii-d_e_a_signed agreement_ to_submit final_recorded _deed restrictions_ and protective
_ covenants _ - - -
If transferring under G. S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
9. If transferring under G.S. 143-214.7(c5) (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
10. A copy of the lease agreement if the proposed permittee is the lessee.
11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
12. A copy of the development agreement if the proposed permittee is the developer.
Stormwater Permit Transfer Application Form Page 3 of 7 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization: Caviness Land Development, Inc
2. Signing Official's Name: Watson Caviness
3. Signing Official's Title: President
4. Mailing Address: 639 Executive Place, Suite 400
City: Fayetteville State: NC ZIP: 28305
5. Street Address: 639 Executive Place. Suite 400
City: Fayetteville State: NC ZIP: 28305
6. Phone: [phone] Email: watson cavinessandcates.com
I, Watson Caviness , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
® the most recent permit;
® the designer's certification for each SCM;
® any recorded deed restrictions, covenants, common areas, drainage easements or plats;
® the approved plans and/or approved as -built plans;
® the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
® a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signature: r Date: Zf 22�L0
F>:
I, �acle��a a Notary Public for the State of
, County of do hereby certify
that N��� personally appeared before me
this the i,�i,�= day of �c.c.e�c�c.�Cx . 20 ` S�) , and acknowledge the due
executio
r V Ily/jy
Sea MY
COMMISSION EXPIRES
Nota
My
ment. Witness my hand and official seal,
\N,\\N�
Stormwater Permit Transfer Application Form Page 4 of 7 April 27, 2018

E. PROPOSED PERMITTEE INFORMATION
1. The proposed permittee is the:
® Property owner (Also complete Part F.)
® Home Owners Association (HOA), Property Owners Association (POA), or Unit Owner Association
(UOA) ,(Also complete Part F.)
❑ Lessee - Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co-permittees. if the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser - Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. if the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F & G.)
❑ Developer Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co: permittees. if the development agreement Is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F'& G.)
2. Proposed permittee name (check one of the following and provide the name):
❑ Corporation, LLC, Partnership, Municipality name:
HOA i POA / UOA name: I& Ae-k wr-t ctt'w Ut L 40--" OLa p,4--S
❑ Sole Proprietor NJ
3. Proposed permittee contact information:
Please be sure to provide.Email.
a. Signing Official's Name: 9iZej
b Signing Official's Title: O<<t• a 6wMc,4L kcroet.A..o1
c. Mailing Address: .-rR0 ►v1,a.yta -•,rt zts- i
City: F;4ytT T f" 16L State:
d. Street
City: _
e. Phone: (9/q 45 �;-- 3-2b'? Email:
State: .NC, ZIP
-L--� L - -
4. If there is a Management Entity that manages the property for an HOA, POA or UOA, please provide:
Please be sure to provide Email.
a. Management Company or Business name: �w'tH trA�7�er�J (-i 0�} W1A,,,.1�+re.n•s+.aT
b. Contact Name: 7--R4DF69,0 JERo—j Title: mAwA4--,-�
a, Mailing Address: _Z S-3- ,R<4ve-4wrta.. 1)r. Sk ka
d. City: r-P y �I'1' 11-L.e State: A) L ZIP: zX--TO-3
e Phone: (94 y 7 3- 37a'7 Email`. A'40 cik.
Stormwater Permit Transfer Application Form Page 5 of 7 April 27, 2018

G. PROPERTY OWNER INFORMATION AND CERTIFICATION
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization:
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City:
Phone: (_) Email:
State: ZIP :
I, , hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreementicontract is cancelled or defaults.
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner
my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires
Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the day of
20 , and acknowledge the due execution of the forgoing instrument. Witness
Stormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018

F. PROPOSED PERMITTEE CERTIFICATION
TZ'm"s Z2.�or-oAD 3r.k,.Jt rn,
I, ��ddl e. oN- rc4 hereby notify the DEMLR that I have acquired through sale, lease,
development agreement, r other legal transfer, the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
Q the most recent permit;
® the designer's certification for each SCM;
® any recorded deed restrictions, covenants, common areas, drainage easements or plats;
the approved plans and/or approved as -built plans;
® the approved operation and maintenance agreement;
past maintenance records from the previous permittee (where required);
a copy of the most recent inspection report;
❑ Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule" addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule" must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply,with the terms and conditions of the permit. I will construct the project's built -upon area as shown on the
approved plans; and I will (construct), operate and maintain the approved stormwater management system
pursuant to the requirements listed in the permit and in the operation and maintenance agreement.
Signature: Date: fed / 2e,'L
I, d, a Notary Public for the State of l rG
County of Aa'L lL , do hereby certify t®q� D/iJQ
personally appeared before me this the �� d, J,' ®� , 200
acknowledge the due execution of the forgoing instr ufbent. Witness my ttq and official seal,
0 NOS
as .q'�d,
Notary Signature
My commission expires
and
Stormwater Permit Transfer Application Form Page 6 of 7 April 27, 2018

UtMLK.U5t UNLY "
Date Received Fee Paid Permit Number
NC DEQ Division of Energy, Mineral and Land Resources
STATE e R
PERMIT TRANSFER APPLICATION FORM
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items (with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http-ll�nc govlcontactlreaional-offices.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report;
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.); or
3. in the case where a transfer falls under G. S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official (for current and proposed permittee) must meet the following:
• Corporation - a principal executive officer of at least the level of vice-president;
• Limited Liability Company (LLC) - the designated manager; (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality - a ranking official or duly authorized employee;
• Partnership or limited partnership - the general partner,
• Sole proprietor;
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
Vim
1, State Stormwater Permit Number: S6140902
2. Project name: Blackbrid a Village Subdivision
Is this an updated project name from the current permit? ❑ Yes ® No
3. Reason for the permit transfer request:
Property is being transferred from the original developer to the HOA
RECEIVED
MAY 1 % ZOZ1
DEMLR
fayeiteviUe Regi®ne.i office
Stormwater Permit Transfer Application Form Page 1 of 7 April 27, 2018

B. PERSON(S) WHO HAVE SIGNED THIS FORM (select only one response below)
® 1. Both the current and proposed permittees
❑ 2. Only the current permittee of a condominium or planned community (skip Part F & G).
In accordance with G. S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent (50%) of the units or lots to owners other than
a declarant (provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act (see §47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
❑ 3. Only the proposed permittee (skip Part D below).
In accordance with G. S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked.
❑ a. The proposed permittee is either (select one of the following):
❑ The successor -owner who holds title to the property on which the permitted activity is
occurring or will occur;
❑ The successor -owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
❑ A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
❑ A person who has sold the property on which the permitted activity is occurring or will
occur.
❑ Other (please explain):
❑ c. The proposed permittee agrees to the following requirements (all must be selected):
❑ There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor -owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
Stormwater Permit Transfer Application Form Page 2 of 7 April 27, 2018

Please mark "Y" to confirm the items are included with this form. Please mark "X" if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. A processing fee of five hundred and five dollars ($505.00) per G S 143-215.3D(e)(2).
Y 2. Two hard copies (with original signatures) and one electronic copy of this completed form and the
required items.
Y 3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
Y 4. If Part B, Items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s) from the proposed permittee, as required by the permit.
Y 5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas) or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
X 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
Y 7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built -.upon area or the maximum
allowed total built -upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
8. if transferring under G.S. 143-214.71c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
9. If transferring under G.S. 743-2?4.7(c5) (i.e., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
10. A copy of the lease agreement if the proposed permittee is the lessee.
11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
12. A copy of the development agreement if the proposed permittee is the developer.
Stormwater Permit Transfer Application Form Page 3 of 7 April 27, 2018

D. CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Email.
1. Current Permit Holder's Company Name/Organization: Caviness Land Development Inc
2. Signing Official's Name: Watson Caviness
3. Signing Official's Title: President
4. Mailing Address: 639 Executive Place Suite 400
City: Fayetteville State: NC ZIP: 28305
5. Street Address: 639 Executive Place Suite 400
City: Fayetteville State: NC ZIP : 28305
6. Phone: [phone] Email: watson cavinessandcates.com
I, Watson Caviness , the current permittee, am submitting this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law identified
on Page 1 of this application. I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the proposed permittee named in this application form: (select all that apply)
® the most recent permit;
® the designer's certification for each SCM;
® any recorded deed restrictions, covenants, common areas, drainage easements or plats;
® the approved plans and/or approved as -built plans;
® the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee (where required);
® a copy of the most recent inspection report;
I further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge. I attest that I have provided all of the required items per the law to transfer this permit. I understand
that if all required parts of this request are not completed or if all required supporting information and attachments
listed above are not included, this request package will be returned as incomplete I assign all rights and
obligations as permittee to the proposed permittee named below. I understand that this request to transfer the
permit may not be approved by the DEMLR unless and until the facility is in compliance with the permit.
Signature: Date:
a Notary Public for the State of
'Z County of — do hereby certify
that
personally appeared before me
this the �iai. day of 20 i.Q and acknowledge the due
Sea MY
COMMISSION EXPIRES
My
U
Witness my hand and official seal,
Stormwater Permit Transfer Application Form Page 4 of 7 ApW 27, 2019

1. The proposed permittee is the:
® Property owner (Also complete Part F.)
® Home Owners Association (HOA), Property Owners Association (POA), or Unit Owner Association
(UOA) (Also complete Part F.)
❑ Lessee - Attach a copy of the lease agreement. Both the lessee and the property owner will appear on
the permit as co permittees. If the lease is terminated, responsibility for the permit reverts to the property
owner. (Also complete Parts F & G.)
❑ Purchaser - Attach a copy of the pending sales agreement. The permit will require submission of a copy
of the recorded deed after the purchase has taken place. If the purchase agreement is cancelled the
permit reverts to the property owner. (Also complete Parts F & G.)
❑ Developer - Attach a copy of the development agreement. Both the developer and the property owner
will appear on the permit as co permittees. If the development agreement is terminated, responsibility for
the permit reverts to the property owner. (Also complete Parts F & G.)
2. Proposed permittee name (check one of the following and provide the name):
❑ Corporation, LLC, Partnership, Municipality name:
HOA / POA / UOA name: 13CAe- K (vr-r do -v UI ©wr+4,-4 /•�- i+ `i�a.
Sole Proprietor
3. Proposed permittee contact information:
Please be sure to provide Email. _
a. Signing Official's Name: 4H,0,n -g 140APAO
b. Signing Official's Title: /°'1i0.*mWt,- -far- StO-f-KLMA t, 01 `-t o ow" . AS. --ar4 '�+•"�.�'
c. Mailing Address: %.� sTc.wl +I A&Vf6A$—%j 7'0 ZSS"? I "i""'`'rtLc De..,T -k, 1G
City: State: At ZIP: LP$43
d. Street Address: J41- 1 C'
City: State: NC, ZIP: ZQC-36-5
e. Phone: Cj/9 4 5 Z-- 3 7 a 7 Email: t afb -C 0U4- .4...c S 4--r ko er, cow
4. if there is a Management Entity that manages the property for an HOA, POA or UOA, please provide:
Please be sure to provide Email.
a. Management Company or Business name: w'�'H +e �wr.J �� iMa -ftW&S -I
b. Contact Name: ',8iZo,--J Title: MAWA�--+�
c. Mailing Address: 2---M 2 RAve-ovrcs. Dr- S"-'e )6
d. City: FPrY1I-Lf, State: 1V c,.- ZIP.. zc-3C3
e. Phone: yl 3- 376-7 Email: /A;;�D S®M'{'k`e .^°`a Ajoa, CZ%—
Storrnwater Permit Transfer Application Form Page 5 of 7 April 27, 2018

Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization: .
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City: State: ZIP:
Phone: (_) Email:
1, , hereby certify that 1 currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, 1 acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143, Article 21.
Signature of the property owner
, County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the day of
20 , and acknowledge the due execution of the forgoing instrument. Witness
my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires
Stormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018

F. PROPOSED PERMITTEE CERTIFICATION
J2AD o2D t�jrow.�}� �nc­a
c Ucli ehereby notify the DEMLR that I have acquired through sale, lease,
development ag er ement, or other legal transfer, the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
91 the most recent permit;
the designer's certification for each SCM;
any recorded deed restrictions, covenants, common areas, drainage easements or plats;
�. the approved plans and/or approved as -built plans;
® the approved operation and maintenance agreement;
past maintenance records from the previous permittee (where required);
a copy of the most recent inspection report;
❑ Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule" addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit. This written "plan of action and
schedule" must be received by the Division before the Division will transfer the permit.
I have reviewed the permit, approved plans and other documents listed above, and i acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built -upon area as shown on the
approved plans; and I will {construct), operate and maintain the approved stormwater management system
pursuant to the requirements listed in the permit and in the operation and maintenance agreement.
Signature: R17— Date:
i, d a Notary Public for the State of r!Z
County of 1-1K 2 , do hereby certify Aqf b
personally appeared before me this the �., 2 , and
acknowledge the due execution of the forgoing instru4nt. Witness my ` and official seal,
Notary Signature'
My commission expires�'�U
stormwater Permit Transfer Application Form Page 6 of 7 April 27, 2018

511312021
North Carolina Secretary of State Search Results
- Upload a PDF Filing - Order a Document Online - Add Entity to My Email Notification List - View Filings
Non -Profit Corporation
Legal Name
Blackbridge Village Owners Association, Inc.
Information
Sosld: 1498616
Status: Current -Active O
Date Formed: 2/17/2016
Citizenship: Domestic
Annual Report Due Date:
Registered Agent: Southeastern HOA Management, LLC
Addresses
Mailing
2557 Ravenhill Drive Ste 1-C
Fayetteville, NC 28303
Reg Mailing
2557 Ravenhill Drive Ste 1-C
Fayetteville, NC 28303
Officers
Principal Office
2557 Ravenhill Drive Ste 1-C
Fayetteville, NC 28303
MAY 112021
Reg Office
2557 Ravenhill Drive Ste 1-C
Fayetteville, NC 28303
hftps://www.sosnc.gov/online services/search/Business_Registration_ResuIts 1/1

BK 10322 PG 0524
FILED ELECTRONICALLY
CUMBERLAND COUNTY NC
J. LEE WARREN, JR.
MAY I3 2021
DEMLR
j_eg• •
• j
FILED Jun 13, 2018
AT 01:37:28 PM
BOOK 10322
START PAGE 0524
END PAGE 0526
INSTRUMENT # 17663
RECORDING $51.00
EXCISE TAX $0.00
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS FORM IS NOT A "NORTH CAROLINA BAR ASSOCIATION" FORM
NO TITLE EXAMINATION BY PREPARER
Parcel Identifier Nos.
Excise Tax: $0.00
Prepared by: Richard A. Gait, PLLC, 2533 Raeford Road, Fayetteville, NC 28305
Return after recording to: Richard A. Galt, PLLC, 2533 Raeford Road, Fayetteville, NC 28305
Brief Description for the Index:
w
This Deed made this the I, day of June, 2018 by and between:
GRANTOR
CAVINESS LAND DEVELOPMENT, INC.
a North Carolina Corporation
Mailing Address:
639 Executive Place
Fayetteville, NC 28305
GRANTEE
BLACKBRIDGE VILLAGE OWNERS
ASSOCIATION, INC.,
a North Carolina Non -Profit Corporation
Mailing Address:
2401 Robeson Street
Fayetteville, NC 28305
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g.,
corporation or partnership
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WIT_-NESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee
simple, all that certain lot or parcel of land situated in Cumberland County, North Carolina and more
particularly described as follows:
FOR LEGAL DESCRIPTION, SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART
HEREOF BY THIS REFERENCE.
This conveyance Is subject to the provisions of that certain Declaration of Covenants, Conditions And
Restrictions for Blackbrldge Village recorded in Book 9856, Page 520, Cumberland County, North
Carolina Registry, as the same may have been amended or supplemented.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 9446, Page 304
A map showing the above -described property is recorded in Plat Book 137, Page 126 and Plat Book 141,
Page 16.
Alt or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Submitted electronically by "Richard A Galt PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Cumberland county Register of Deeds.

BK 10322 PG 0525
TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that the Grantor has done nothing to impair such title as Grantor
received, and Grantor will warrant and defend the title against the lawful claims of persons claiming by, under
or through Grantor, except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
All valid and enforceable easements, restrictions, rights -of -way, conditions and matters of record; the lien of
ad valorem tax for the current year which Grantee shall pay; matters which would be revealed by a
current and accurate survey and inspection of the premises; and all other matters of record.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seat, or if corporate, has caused this
instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto aftixed
by authority of its Board of Directors, effective the day and year first above written.
CAVINESS LAND DEVELOPMENT, INC.
By.
Name:jtimelCL J"Ga
Title: eev
CORPORATE SEAL
North Carolina
Cumberland County
I certify that the following person(s) personally appeared before me this day, each acknowledging to me that
he voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:
Dated: June �&, 2018
Notary Public
PrintedName:
Notary Public
My commission expires:
Ally
C014fmm"M EXPM
1?hi12G21
i

BK 10322 PG 0526
EXHIBIT "A"
LEGAL DESCRIPTION
Tract One:
BEING all of "LOW OAK COURT, 50' R/W", "BENCHMARK WAY, 50' R!W", CHERRY BEND
LANE, 50' R/W" and "NARROW PINE COURT, 50' R/W", each as shown on the plat entitled
/°BLACKBRIDGE VILLAGE SUBDIVISION PHASE ONE" recorded in Plat Bouk 137, Page 126,
Cumberland County, North Carolina Registry, which plat is incorporated herein by reference and
made a part hereof for greater certainty of description and location of said premises.
Tract o:
BEING all of "LOW OAK COURT, 50' R/W", "LONG LAKE DRIVE, 50' R/W" and "NARROW
PINE COURT, 50' R/W", each as shown on the plat entitled `BLACKBRIDGE VILLAGE
SUBDIVISION PHASE TWO" recorded in Plat Book 141, Page 16, Cumberland County, North
Carolina Registry, which plat is incorporated herein by reference and made a part hereof for greater
certainty of description and location of said premises.
Tract Three:
BEING all of Lot CA, containing 0.21 acres, as shown on the plat entitled `BLACKBRIDGE
VILLAGE SUBDIVISION PHASE ONE" recorded in Plat Book 137, Page 126, Cumberland County,
North Carolina Registry, which plat is incorporated herein by reference and made a part hereof for
greater certainty of description and location of said premises.
Tract Four•
BEING all of Lot P1, containing 2.05 acres, as shown on the plat entitled "BLACKBRIDGE VILLAGE
SUBDIVISION PHASE ONE" recorded in Plat Book 137, Page 126, Cumberland County, North
Carolina Registry, which plat is incorporated herein by reference and made a part hereof for greater
certainty of description and location of said premises.

State Stormwater Permit
Permit No. SW6140902
Caviness Land Development, Inc.
Blackbridge Village Subdivision
Town of Hope Mills in Cumberland County
Designer's Certification
MAY 19 20?1
DEMLR
Fayetteville Regional Office
IC. Scott Brown Civil Engineer
as a duly registered in the
State of North Carolina, having been authorized to observe periodically/` weekly/
full time) the construction of the project, T—
Blaekbridge Village Subdivision
(Project Name)
for Caviness Land Development, Inc
(Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial ='
compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification:
Signature_
Registration Number 27452
Date July 7, 2020
SEAL
{
027452
.t
yCO'P T
lY
riJxsta�a:t%°��e }
cc: NCDENR-DEMLR Regional Office
Page 1 of 1

If
RECEIVED
MAY 1. 9 2.021
FILED
CUMBERLAND COUNTY NC
J. LEE WARREN, JR.
R T
FILED May 09, 2016
AT 10:44, 34 art
BOOK
STARTPAGE
r PAGE
INSTRUMENT #
DEMLR RECORDING
Fayetteville Regional Office EXCISE TAX
L
DECI,ARA,fION OF COVENANT'S, CONDITIONS
AND RESTRICTIONS FOR
BLACKBRIDGG VILLAGE:
(A Residential Subdivision)
Prepared by/return to:
Rebecca F. Person
Rebecca I'. Person, PLLC
2401 Robeson Street
Fayetteville, NC 28305
09856
0520
0543
13545
$62, 00
(None)
THIS DECL.ARAI'ION OF COVENANTS, CONDITIONS AND RESTRICTIONS (this
"Declaration") is made this the ZZin ( day of r'1ja C]�, s _ , 2016, by CAVINCSS LAND
DEVELOPlvI1 N I', INC., a North Carolina corporation, hereinafter referred to as "Declarant",
1Nt'1'1'NLSSE-1'I.1:
Declarant is the owner of certain property in the Rockfish Townshi1), Cumberland County, North
Carolina shown on flats entitled:
"BLACKBRIDGL VILLAGE SUBDIVISION" recorded in Plat Book I -:� ,
Pagc(s) .2,. , of the Cumberland County, NC, Registry (hereinafter "Blackbridge Village").
Blackbridge Village will be comprised of single family residential homes. Declarant desires to provide
for the preservation of the valties and amenities and for the maintenance of the common area in Blackbridge
Village and under a general plan or scheme of improvement desires to subject said property to the
covenants, restrictions, casements, affirmative obligations, char4ps and liens hereinafter act forth,
hereinafter referred to as the "Covenants" or the "Declaration", all of which is hereby declared to be for the
benefit ofsaid property and each and every owner of any and all parts thercoC.
Declarant deems it desirable, for the efficient ))reservation of the values and amenities in said
community, to create in agency to which calf be delegated and assigned the power and authority of
maintaining and administering the common properties, administering and enforcing: these covenants and
restrictions and collecting anal disbursing all assessments and charges necessary Tor such maintenance,
administration and enforcement. Blackbridge Village Owners Association, Inc. Is Incorporated under the
laws of the State of North Carolina as a non-profit corporation and can exercise the functions aforesaid,
which functions are hereinafter more holly set forth.
NOW 'ri-ICREFORE, the Declarant declares that the real property depicted on the abovedescribed
plats shall be held, transferred, sold, conveyed given, donated, Icas C1. C)CCIII)ted and used subject to the

0
RKO9856 POO52 t
covenants, restrictions, conditions, easements, changes, assessments, affirmative obligations, and liens
hereinafter set forth. This Declaration ind the affirmative and negative burdens of these covenants, shall
touch and concern and run with the land herein referred to as the "Property." All rights and easements
reserved by the Declarant hereunder shall also be reserved to the assignees and successors in interest of the
Declarant.
ARTICLE I
DEFINITI NS
Section i. "Association" shall mean and refer to Blackbridge Village Owners Association, Inc., a North
Carolina non-profit corporation, its successors and assigns.
Section 2. "Board" or "Board of Directors" shall mean those persons elected or appointed and acting
collectively as the Board of Directors of the Association.
Section 3. "Common Properties" or "Common Areas" shall mean and refer to:
(a) "Infiltration basin" "Common Area," "Open Space and drainage easements
affecting or benefiting the Property as shown on the Plat;
(b) any landscaping or hardscaping within the common areas, including any sign &
landscape easements as shown on the Plat;
(c) any improvements constructed or as may be constructed within the common areas;
and
(d) any personal property acquired by the Association.
All Common Area is to be devoted to and intended for the common use and enjoyment of the Owners,
persons occupying dwelling places or accommodations of Owners on a guest or tenant basis, and visiting
members (to the extent permitted by the Board of Directors of the Association) subject to the fee schedules
and operating rules adopted by the Association; provided, however, that any lands which are leased by the
Association for use as Common Area shall lose their character as Common Area upon the expiration of
such Lease. Reference to Common Area in these covenants does not imply or guarantee that the Property
affected by these covenants or any future section(s) of Blackbridge Village will have any Common Area.
Section 4. "Common Expenses" shall mean and include:
(a) All sums lawfully assessed by the Association against its members;
(b) Expenses of administration, maintenance, repair, or replacement of the Common Area,
including, without limitation, all labor, services, common utilities, materials, supplies,
equipment, costs incurred in acquiring a Lot pursuant to a judicial sale, legal, accounting or
managerial fees, and all expenses in connection with the Association's responsibilities under
any stormwater management agreement (the "Stormwater Agreement") affecting the Property;
(c) Expenses declared to be common expenses by the provisions of this Declaration or the Bylaws;
(d) Hazard, liability, or such other insurance premiums as the Declaration or the Bylaws may
require the association to purchase or as the Association may deem appropriate to purchase;
2

OX09856 P00522
(e) Ad valorem taxes and public assessment charges lawl►illy levied against Common Area;
(f) The expense of the laintenance ofdrainage and utility easements and facilities located therein
which are within the boundaries of'tllc Property;
(fig) The expense of maintenance of any roads, streets, easements, landscaping, amenities, taxes or
any other expense item associated with any Common Property not located on the Property but
permitted to be used by the members of this Association by any adjoining landowner,
association or other entity purstant to any cross -easement, cross access or other agreement by
the Association with the adjoining land owner.
(h) Payments into any escrow account required under any Stormwater Agreement, which may
include funding of the escrow account prior to a transfer of maintenance and operation
responsibilities from Declarant to Association; and
(i) Any other expenses deterinincd by the hoard or approved by the nicillbers to be common
expenses of the Association.
Section 5. "Declarant" shall mean Caviness Land Development, Inc., a North Carolina corporation, its
successors and assigns.
Section 6. "Covenants" or "Declaration" shall mean this instrti111e11t a5 it may be from time to time
amended, supplemented, modified or incorporated by reference.
Section 7. "Lot" shall mean and refer to any numbered plot of land shown on the Plat or any plat of any
additional phases of Black -bridge Village:, as such map or maps may be from time to tinge recorded,
amended, or modif icd, excluding tiny infiltration basin. common area or open space.
Secti n S. "Member" shall mean and refer to ever , person or entity entitled to membership in the
Association.
Section 9. "Owner" shall mean and refer to the owner as shown by the records in the Register of Deeds of
Cumberland County, North Carolina, whether it be one or more persons, firms, associations, corporations,
or other legal entities, including the Declarant, of fee title to any Lot depicted on the plait of Blackbridge
Village, but, notwithstanding any applicable theory of a mortgage, shall not mean or refer to the mortgagee
or holder of security deed, its successors or assigns, unless and until such mortgagee or holder of a security
deed has acquired title pursuant to fot•eclosure or a proceeding or deed in lieu of foreclosure; nor shall the
term "Owner" mean or refer to ally lessee or tenant of an Owner.
Section 10. "Period of Declarant Control" means the period commencing, on the date hcreof and continuing
until the earlier of December 331, 2016; or (ii) when Declarant lens voluntarily terminated its Declarant
Rights hereunder in writing.
Section 11. "Plat" or "Plats" shall refer to the following;
Plat entitled ` BLACKBRIDGE VILLAGE SUBDIVISION" recorded in Plat Book
Pagc(s)�of the Cumberland County, NC, Registry.

OK09856 P00523
Section 12. "Property" or "Subdivision" shall mean and refer to the land as shown on the Plats. "Property"
shall also include future sections of Blackbridge,Village as the- same maybe annexed pursuant to Article II
below.
ARTICLE II
PROPERTY. UTILITIES, ¢AND RESERVED BJQHTa
Section 1. Existing Property. The real property which is and shall be held, transferred, sold, conveyed,
given, donated, Ieased and occupied subject to these covenants is defined as the Property above.
Cation 2. Annexation of Additional Prop M. At any time prior to December 31, 2046, additional land
may be annexed by the Declarant without the consent of the Members and therefore become subject to this
Declaration by the recording by Declarant of a plat showing such property to be annexed and of a
supplementary declaration extending the operation and effect of this Declaration to the property to be
annexed. Any property annexed pursuant to this subsection may be annexed and subjected to this
Declaration as one parcel or as several parcels at different times. The addition of such property pursuant
to this section may increase the cumulative number of Lots within the Property and therefore, may alter the
relative maximum voting strength of the various types of Members. Any Supplemental Declaration may
contain such complementary additions and/or modifications of the covenants and restrictions contained in
this Declaration, including, without limitation, different voting rights and different annual and special
assessments for the Lots so annexed as Declarant, in its sole discretion, may deem necessary or appropriate
to reflect the different character or use of the property added. A Supplemental Declaration annexing
additional property need only be executed by the Declarant and, if applicable, by the owner of the property
being annexed, and shall not require the joinder or consent of the Association or any of its Members.
Sectiop 3. Special Declarant Rights. Declarant reserves the following special declarant rights for the
entire Property during the period of Declarant control,
(a) To complete any and all improvements indicated on the plats and plans;
(b) To exercise any development right reserved in this Declaration;
(c) To construct and maintain any sales office, signs advertising the Property or any property
which may be added thereto, management office or model on any of the Lots or on any of the
Common Area shown on the plat;
(d) To use easements through the Common Area for the purpose of making improvements
within the Property or any property added thereto; to enter upon the subdivision for access,
including ingress and egress for both vehicles and pedestrians, to and from any public street; or to
connect at Declarant's expense to any street, roadway walkway or other means of access located
on the Common Area;
(e) To create and add Lots, to alter the size of any Lot, combine or merge two or more Lots,
to subdivide Lots or other Property into Common Property, to add Common Area, or to extend
streets and utilities through Lots;
(f) To appoint or remove any officer or member of the Association Board during the period of
Declarant control;
(g) To annex any adjacent property developed in conformity with this Declaration;
(h) To transfer responsibility for any storm water detention ponds or other BMP's affecting
the Property to the Association in accordance with any Stormwater Agreement; or
(i) To remove any portion of the Properties then owned by the Declarant or the Association
from the coverage of this Declaration, to the extent originally included in error or as a result of any
changes whatsoever in the plans for Blackbridge Village subdivision, provided such withdrawal is
not unequivocally contrary to the overall, uniform scheme of development for Blackbridge Village
4

OK09856 P00524
subdivision; and
0) To approve any supplemental declaration or other declaration of covenants, conditions or
restrictions affecting any phase, sub -section ,or other portion of Blackbridge Village; without
Declarant's review and consent, such 'stipplement *adefaration or other declaration of covenants,
conditions or restrictions shall be voidable in the sole discretion of Declarant.
Section 4. Utilities Re es rved by Declarant.
(a) Declarant reserves the right to subject the Property to a contract with public utility
provider(s) for the installation of overhead and/or underground electric cables and/or the
installation of street lighting, either or both of which may require an initial payment and/or a
continuing monthly payment to such public utility provider by the owner of each Lot. Declarant
may devote any Lot or portion thereof, not already sold, for any construction and uses which it, in
its discretion, deems necessary in order to provide the subdivision with utilities.
Until December 31, 2046, Declarant reserves, for itself and its employees, agents,
successors and assigns, an easement upon and a right of ingress, egress and regress on, over and
under the Properties for the purposes of constructing and maintaining such roadways, water, sewer,
gas, storm water, drainage and retention, telephone, cable televisions and electric and other utility
facilities to the extent required by any applicable governmental entity or deemed by the Declarant
to be necessary or convenient for the development, use and enjoyment of the Properties and the
Common Area and the conduct of construction, sales and marketing activities. Such right
expressly includes the right to cut any trees, bushes or shrubbery, make any grading of the soil,
relocate utility facilities within said easement and take any other similar action that its deems
reasonably necessary or appropriate. After such action has been completed, Declarant shall grade
and seed the affected property and otherwise restore the affected property to its original condition
to the extent practicable, but shall not be required to replace any trees, bushes or shrubbery
necessarily removed. Declarant shall give reasonable notice of its intent to take such action to
each Owner whose Lot is affected.
Section S. Utility Easements. Easements for installation and maintenance for utilities and drainage
facilities are reserved as shown on the recorded plat. Within these easements, no structure, planting or
other material shall be placed or permitted to remain which may interfere with the installation and
maintenance of utilities, or which may change the direction or flow of drainage, or which may obstruct or
retard the flow of water.
Section 6. Easements fQr Governmental Access. An easement is hereby established over the Common
Area and every Lot within the Properties for the benefit of applicable governmental agencies for installing,
removing, and reading water meters, maintaining and replacing water and sewer facilities, and acting for
other purposes consistent with public safety and welfare, including, without limitation, law enforcement,
fire protection, garbage collection and the delivery of mail.
ARTICLE III
PROPERTY RIGHTS IN -THE COMMON AREA
Section 1. Owners' Easement of Enjoyment in Common 4rea. Except as limited by the provisions of
this Declaration, by the rules and regulations adopted by the Board of Directors of the Association, and any
fees or charges established by the Board of Directors of the Association, every Owner shall have a right of
easement of enjoyment in and to the Common Area and such easement shall be appurtenant to and shall
pass with the title of every Lot.

OK09856 P00525
Section 2. Delegation of Use.
(a) Pam. The right and easement of enjoyment'ana£access-granted to every Owner by Section I of
this Article may be exercised by members of the Owner's family who occupy the residence of the
Owner within the Properties as their principal residence,
(b) Tenants: Contract Purchasers. The right and easement of enjoyment and access granted to every
Owner by Section 1 of this Article may be delegated by such Owner to his tenants or contract
purchasers who occupy a residence within the Properties.
(c) Guests. The right and easement of enjoyment and access granted to every Owner by Section I of
this Article may be delegated to guests of such Owners, tenants or contract purchaser, subject to
such rules and regulations as may be established by the Board of Directors.
(d) Sus en i n of Rights. The rights of any delegate of an Owner shall be suspended by, upon and
during suspension of such Owner's rights as provided in this Declaration. Additionally, the
privilege granted to guests and tenants of Owners to use and enjoy the Common Areas, subject to
the rules, regulations and fees, if any, established by the Association for such use, (other than
ingress and egress) may be denied to or withdrawn from such guests or tenants by an affirmative
vote of ninety percent (94%) of the votes cast at a meeting of the Association called for the purpose
of voting on such denial or withdrawal.
Section 3. Access Easement. Appurtenant to each Lot is an easement over the streets and roadways
within the Properties for access, ingress and egress from and to public streets and an easement for pedestrian
access, ingress and egress over sidewalks and walkways in the Common Area. Any such easement shall
be upon such walkways, driveways or other ways as are designated by the Declarant and/or the Association
and shall be subject to the terms of this Declaration.
ctin 4. Title to Commgn 6Xea. The Declarant covenants for itself, its successors or assigns, that it shall
convey to the Association by limited warranty deed the "Common Properties" or "Common Area" prior to
or at the end of the period of Declarant control. All said parcels of land maybe conveyed to the Association
subject to: (1) all restrictive covenants of record at that time, including but by no means limited to this
Declaration; (2) all existing mortgages; (3) a reservation by the Declarant of the right to substitute or add
new mortgages thereon; provided, however, that in no event shall the Association be obligated to assume
the payment of principal or interest on any such mortgage; (4) easements reserved by the Declarant herein
for special declarant rights; and (5) any Stormwater Agreement affecting the Property.
cti n S. Extent of Owners' Easement. The rights and easements of enjoyment created hereby shall be
subject to the following:
(a) the right of the Association, in accordance with its Bylaws, to borrow money from the Declarant
or any other lender for the purpose of improving and/or maintaining the Common Area and
providing services authorized herein and in aid thereof to mortgage said properties;
(b) the right of the Association to take such steps as are reasonably necessary to protect the above -
described properties against foreclosure;
(c) the right of the Association to suspend the rights and easements of enjoyment of any Owner,
or any tenant or guest of any Owner, for any period during which the payment of any
6

assessment against any Lot owned by such Owner remains delinquent, and for any period not
to exceed sixty (60) days for any infraction of its published rules and regulations, it being
understood that any 'suspensibn for eithernonpayment of any assessment or a breach of the
rules and regulations of the Association shall not constitute a waiver or discharge of the
Owner's obligation to pay the assessment;
(d) the right of the Association to charge reasonable admission and other fees for the use of any
recreational facilities situated or constructed on the Common Area and to limit the use of such
facilities to Owners who occupy a residence on the Properties and to their families, tenants and
guest, as provided in this Article;
(e) the right of the Declarant or the Association by its Board of Directors to dedicate or transfer to
any public or private utility, utility easements on any part of the Common Area; and
(f) the right of the Association to give, dedicate, sell or exchange all or any part of the Common
Area, including leasehold interests, to any public agency, authority, public service district, or
private concern for such other purposes and subject to such conditions as may be agreed to by
the Members, provided that no such gift or sale or determination as to the purposes or as to the
conditions thereof shall be effective unless such dedication, transfer and determination as to
purposes and conditions shall be authorized by (i) the Declarant as long as it owns any portion
of the Property and (H) the affirmative vote of three -fourths (3/4) of the votes cast at a duly
called meeting of the Association, subject to the quorum requirements established herein and
unless written notice of the meeting and of the proposed agreement and action thereunder is
sent to every Member of the Association at least thirty (30) days prior to such meeting. A true
copy of such resolution together with a certificate of the results of the vote taken thereon shall
be made and acknowledged by an officer of the Association and such certificate shall be
annexed to any instrument of dedication or transfer affecting the Common Area prior to the
recording thereof. Nothing herein shall be deemed to prohibit the Board of Directors of the
Association, without the consent of the Members, from granting easements over and across the
Common Area to any public agency, authority or utility for the installation and maintenance of
sewerage, utility (including cable television) or drainage facilities when, in the opinion of the
Board, such easements are necessary for the convenient use and enjoyment of properties within
Blackbridge Village.
(g) the right of Declarant to use Common Area for promotional, sales, and similar purposes during
the Period of Declarant Control;
(h) the right of the Association to open the Common Area and, in particular, any recreational
facilities constructed thereon, for use by non-members of the Association;
(i) the right of the Association to expand or add to the Common Area and to improve, maintain
and operate the Common Area;
0) the right of the Association to adopt, promulgate and enforce rules and regulations concerning
the use of the Common Area; and
(k) the special Declarant rights reserved herein.
Section 6. Regulation and Maintenance of Common Area and Common Area Easements. It is the intent
of the Declarant that the Common Area be preserved for the perpetual benefit of the Owners.

HKO9856 POO$27
(a) Regulation of Common Area, The Association may adopt and promulgate rules and
regulations governing the use of the Common'Area by Owners and their family, guests and
invitees. No Owner or other permitted user shall use the Common Area or any portion thereof
in violation of the rules and regulations contained in this Declaration or subsequently adopted
by the Association.
Without limiting the generality of the foregoing, except as specifically provided herein, no
Owner or tenant, guest or invitee of an Owner shall, without specific prior written consent of
the Association: (1) damage or waste the Common Area or improvements thereon or remove
any trees or vegetation therefrom; (H) erect any gate, fence, structure or other improvement or
thing on the Common Area; (iii) place any garbage receptacle, trash or debris on Common
Area; (iv) fill or excavate any part of the Common Area; (v) landscape or plant vegetation on
Common Area; or (vi) use the Common Area or any part thereof in a manner inconsistent with
or in any way interfering with the rights of other Owners,
(b) Rights and Responsibilities of the Lot Owners as to Common Area Basements. Each Owner
of a Lot upon which a Common Area easement lies shall pay all property taxes and other
assessments levied against his Lot, including that portion of such tax or assessment as is
attributable to such Common Area easement.
(c) Rights and Responsibilities of the Association, as to the Common Area The Association shall
have the right and obligation to ensure that the Common Area is preserved for the perpetual
benefit of the Owners, and, to that end, shall: (i) maintain the Common Area in its natural or
improved state, as appropriate, and keep it free of impediments to its use by the Owners, subject
to the provisions of this Declaration; (ii) procure and maintain adequate liability insurance
covering the Association and its Members, Directors and officers, against any loss or damage
suffered by any person, including the Owner of the Lot upon which Common Area lies,
resulting from use of the Common Area, and adequate hazard insurance covering the real and
personal property owned in fee by the Association; and (iii) pay all property taxes and other
assessments levied against all Common Area owned in fee by the Association.
(d) Declarant's and Association's Rigbt of Entry. The Declarant and the Association and the
employees, agents, contractors and subcontractors of each, shall have a non-exclusive right and
easement at all times to enter upon any portion of a Lot reserved or designated as a Common
Area easement for the purposes of (i) installing and maintaining entrance signs, features,
fencing and landscaping; and (ii) making such improvements to the Common Area; and (iii)
maintaining the Common Area easement in its natural or improved state.
ARTICLE 1V
ARCHITECTURAL CONTROL
Section 1. Architectural Approval. No residence or other building, and no fence, wall, utility yard,
driveway, solar panel, swimming pool or other structure or improvement, regardless of size or purposes,
whether attached to or detached from the main residence, shall be commenced, placed, erected or allowed
to remain on any Lot, nor shall any addition to or exterior change or alteration thereto be made, unless and
until building plans and specifications covering the same, showing the nature, kind, shape, height, size,
materials, floor plans, exterior color schemes with paint samples, location and orientation on the Lot and
approximate square footage, construction schedule, on -site sewage and water facilities, and such other
information as the Declarant or the ARC (as hereinafter defined) shall require, including, if so required,

OX09856 P00528
plans for the grading and landscaping of the Lot showing any changes proposed to be made in the elevation
of surface contours of the land, have been submitted to and approved in writing by the Declarant or by an
Architectural Review Committee ("ARC") composed. of three or more persons appointed by the Board of
Directors of the Association and until a eopiof all such'plans and specifications, as finally approved by the
Declarant have been lodged permanently with the Declarant or the ARC. The Declarant or ARC, as.the
case may be, shall have the absolute and exclusive right to determine which builders may construct houses
on Lots, the style and appearance of the dwellings, including, but not limited to flag staffs, fences, walls,
buildings outbuildings, garages, storage sheds, mailboxes, lawn decorations, structures of any type or color
thereof, grading, landscaping, patio covers and trellises, plans for off-street parking of vehicles and utility
layout, and any other improvements to be built or constructed on any Lot. The Declarant or ARC, as the
case may be, shall have the absolute and exclusive right to refuse to approve any such building plans and
specifications and lot -grading and landscaping plans which are not suitable or desirable in its opinion for
any reason, including purely aesthetic reasons connected with future development plans of the Declarant of
said land or contiguous lands. In passing upon such building plans and specifications and lot -grading and
landscaping plans, the Declarant or ARC may take into consideration the suitability and desirability of the
proposed construction and of the materials of which the same are proposed to be built to the Lot upon which
it proposes to erect the same, the quality of the proposed workmanship and materials, the harmony of
external design with the surrounding neighborhood and existing structures therein, and the effect and
appearance of such construction as viewed from neighboring properties. In the event the Declarant or
ARC fails to approve or disapprove such building plans and specifications within thirty (30) days after the
same have been submitted to it as required above, the approval of the Declarant or ARC shall be presumed
and the provisions of this paragraph shall be deemed to have been complied with.
Section 2. Rules and Regulations. The ARC may from time to time recommend to the Board, and the
Board may, in its sole discretion, adopt, promulgate, amend and repeal rules and regulations interpreting
and implementing the provisions of this Article, including adoption of detailed architectural guidelines and
the imposition of a fee or charge for review of proposed improvements or modification.
Section 3. Variances. The Board may, by the vote or written consent of a majority of the members thereof,
allow reasonable variances as to the covenants, conditions or restrictions contained in this Declaration, on
such terms and conditions as it shall require; provided, however, that all such variances shall be in keeping
with the general plan for the improvement and development of the Property. Variances contained in plans
that are inadvertently approved by the ARC as part of the proposed improvements shall not be considered
as having been approved unless specifically approved by the Board in accordance with the provisions of
this Section.
ARTICLE V
USE RESTRICTIONS
Section . Business Use Prohibited. All Lots shall be used for residential purposes only and shall not be
used for any business or commercial purposes, provided, however, that Declarant reserves the right to use
any Lot and any improvement thereon owned by Declarant as a model home with sales office. Declarant,
builders, real estate brokers, Owners and their agents may show lots and homes for sale or lease. Group
family homes are prohibited.
Section 2, Dwelling Size. No dwelling shall be erected or allowed to remain on any of the said Lots in
Biackbridge Village which shall contain a heated -area living space of less than One Thousand Six Hundred
[1,600) square feet. For two-story houses, the ground floor must contain at least Nine Hundred [900] square
feet. Heated -area living space shall mean the ordinary living space in a house which is designed and
constructed so as to be capable of being heated for regular living use in cold weather. In the computation
9

OK89856 P08529
of floor space, furnace room areas, garages, carports, and porches shall not be counted.
Section 3. Building Type. No structure shaft be erected, altered, places or permitted to remain on any Lot
other than one detached single-family dwelling not to exceed three stories in height and a private garage
for not more than three cars and other outbuilding incidental to the residential use of the Lot. Such
outbuilding erected, altered, placed or permitted shall be of the same quality, workmanship and material as
the principal dwelling structure and will be erected and placed to the rear of the dwelling structure on the
Lot.
Section A. Setbacks. All structures shall comply with the Cumberland County ordinances with regard to
all set -back requirements. When consistent with the zoning ordinances (or any variance granted), the
building line set -back as provided for in this paragraph may be varied by as much as ten (10) percent with
the express consent of Declarant, which said consent document need not be on record in the Office of the
Register of Deeds, Cumberland County, North Carolina.
Section 5. Walls. Fences and_Hedoes. All walls, fences, and hedges shall be controlled strictly for
compliance with this Declaration and architectural standards established by the Declarant or the ARC.
No wall, fence, or hedge shall be planted or erected closer to the street on which the house fronts than the
rear corner of the house; provided, however, that for houses with screened porches, the fence may attach at
either the front or back corner of the screened porch.
For corner Lots, no wall, fence, or hedge shall be planted or erected closer to the side street than ten (10)
feet from the corner of the house.
No fence made of concrete block, chain link, wire, or what is commonly known as "chicken wire" shall be
permitted anywhere on the Lot. No wall, fence, or hedge shall exceed six [6] feet in height. The design
and materials of all fences shall be approved by the Declarant or the ARC prior to any construction pursuant
to the approval requirements of Article V of this Declaration.
Section 6. Accessory Structures. No trailer, tent, shack, garage, car port, metal awnings, metal utility
sheds, barn or other building shall be placed, erected or allowed to remain on said property without the
written consent of Declarant or the ARC. No structure of a temporary character shall be used as a residence
temporarily, permanently or otherwise.
Section 7. Main enance of Improvements. Each Owner shall maintain all improvements constructed upon
such Owner's Lot to the standards of their original construction. Each Owner shall maintain in good
condition and repair all improvements constructed upon such Owner's Lot, including, without limitation,
the dwelling. Such maintenance obligations include keeping the exterior of all such improvements free of
mold and mildew. No Owner shall change the exterior design or color of the dwelling on such Owner's
Lot, including the roof thereof, except in compliance with Article V hereof.
Section 8. Storage; Clothes Hanging. No Lot or Common Area shall be used for the storage of rubbish.
No trash of any kind, whether household or yard debris, shall be placed or allowed to remain on any Lot,
except in proper containers. Containers should only be placed by the street on the evening before the day
trash is scheduled to be picked up. Each owner shall promptly remove the trash container from the street,
in no case later than the evening of the day the trash was removed. Outside clothes handing devises are not
permitted.
Section 9. Nuisances. No noxious or offensive trade or activity shall be carried on upon any Lot or the
10

OX09856 P00530
Common Area nor shall anything be done which may be or become an annoyance or nuisance to the
neighborhood.
Section IQ. Lawns. Each Lot shall be mainfained" is a nest condition by the Owner thereof. In this
context, the word "Lot" shall include that portion of the property from the outside of the structure on the
applicable Lot to the adjacent paved road surface. All Lots upon which a dwelling has been constructed
("Improved Lots") must have grass lawns. No gravel or similar type lawns are permitted. For Improved
Lots, "neat" shall require, at a minimum, that the front yard of each Lot, and in the case of corner lots, the
side of each Lot along the side abutting roadways, be sodded, be regularly cut and fertilized, and that
mulched or pinestrawed areas be regularly re -mulched or re-pinestrawed and kept weeded so that its
appearance is in harmony with the neighborhood. No Owner shall allow the grass on an Improved Lot to
grow to a height in excess of six (6) inches, measured from the surface of the ground. For unimproved
Lots, "neat" shall require that the Lot is maintained in a sightly condition, free of debris, rubbish, weeds
and high grass and in a prudent and reasonable manner harmonious with that of the other Lots within the
subdivision.
Section 11. Failure to Maintain. If an Owner fails to maintain the Lot or the improvements thereof, the
Association, after giving such Owner at least ten (10) days' written notice, shall be authorized to undertake
such maintenance at the Owner's expense. By accepting title to his Lot, each Owner shall be deemed to
grant access upon the Owner's Lot and dwelling for such purpose and such entry shall not constitute a
trespass. If such maintenance is undertaken by the Association or Declarant, the charge therefor and all
costs of enforcement and collection shall be secured by a lien against the Lot as provided in this Declaration.
Section 12. Animals. The maintenance, keeping, boarding and/or raising of animals, livestock, poultry
or reptiles of any kind, regardless of number, shall be and is prohibited within any Lot, except the keeping
of not more than two (2) orderly domestic pets (dogs or cats) shall be permitted; provided, however, that
such pets are not kept or maintained for commercial purposes for breeding, and provided, further that any
such pet causing or creating a nuisance or unreasonable disturbance or noise shall be permanently removed
from the Property. All pets shall be registered and inoculated as required by law. No dangerous dogs,
including but not limited to, Pit Bulls, Rottweilers, Dobermans, Akitas, and Chows, shall be permitted on
any Lot, unless the Lot Owner installs a six (6) foot privacy fence that complies with Section 5 above, and
in addition installs a six (6) foot chain link fence at least ten (10) feet inside the perimeter of the privacy
fence. The above -listed breeds of dog may not be exercised in the neighborhood, even if the dog is on a
leash. Any of the above -listed breeds of dogs maybe removed at the sole discretion of the Declarant and/or
the Association. All owners of the above -listed breeds must provide the Association with a current copy
of liability insurance in the minimum amount of $1,000,000.00
Any dog house or dog containment structure or system must comply with the provisions of Section 5 above,
be located to the rear of the principal dwelling structure, and must be located within twenty (20) feet of the
rear of the main dwelling structure.
Section 13. Vehiojtrg, F3¢agTrailers, No automobile or other mechanical repairs shall be conducted within
a Lot other than in a garage or concealed from public view. No mechanically defective automobile, motor
vehicle, mechanical machine, or machinery, shall be placed or allowed to remain on a Lot at any time except
in a closed garage. No truck or vehicle used with eighteen wheels (such as a "tractor" or "semi") shall be
permitted to be parked on the Properties except in the course of delivery, pick up, or discharge of a specific
commercial duty. No vehicle in inoperable condition, no unlicensed vehicle, no recreational vehicle, no
camper, no golf cart, no boat, and no jet ski or other watercraft may be parked on any street or on any Lot,
unless kept inside a garage or behind an approved fence or otherwise concealed from public view. No
parked vehicle shall be covered by a "car cover" or other similar covering unless kept inside a garage and
I

8K09856 P0853I
concealed from public view. No truck or vehicle, no camper, no golf cart, no boat, jet ski or other watercraft,
and no trailer may be kept within the Common Area. For the purpose of the preceding sentences, the term
"kept" shall mean present for either a period of more than ten (10) hours or overnight, whichever is less.
In order to preserve the aesthetics of development, whether or not a boat, trailer, or vehicle of any type is
adequately concealed from public view shall be determined by the Association in its sole discretion. The
Association shall have the right to tow or remove any boat, trailer, recreation vehicle, camper, jet ski,
watercraft, golf can or vehicle of any type which is parked within the Common Area or kept on any Lot in
violation of this section, at the Owner's expense, and the Owner of each Lot, by acceptance of their deed,
does grant to the Association such an easement, on, across, and upon their Lot as may be necessary to
enforce the provisions set out in this section.
Section 14, Mailboxes. Intentionally deleted
Section 15. Signs. No sign of any character shall be displayed or placed upon any Lot except "For Sale" or
"For Rent" signs, which signs may refer only to the particular premises on which displayed, shall not exceed
two (2) square feet in size, shall not extend more than four (4) feet above the surface of the ground, shall
be fastened only to a stake in the ground, and shall be limited to one (1) sign to a Lot. The Declarant may
enter upon any Lot and summarily remove and destroy any signs which do not meet the provisions of this
section. The Association may develop uniform sign standards and specifications to which all Owners must
adhere. No sign of any kind shall be displayed in or on the Common Area without the prior written consent
of the Association. Notwithstanding the foregoing, Declarant, and with the consent of and upon such
conditions as Declarant, in its sole discretion, might impose, a builder or builders shall have the right to
erect and maintain signs of any type and size on any Lot which it owns and on the Common Area, in
connection with the development and sale of the Properties.
Section 16. Antennae and Roof Structures. No radio or other electrical towers, aerials, antennae, dishes or
other devices of any type for the reception or transmission of radio broadcasts or other means of
communication shall be erected, constructed, placed of permitted to remain on any Lot or upon any
improvements thereon. The Association shall be empowered to adopt rules governing the types of
antennae that are permissible hereunder and establishing reasonable, non-discriminatory restrictions
relating to safety, location and maintenance of antennae. An antenna permissible pursuant to rules adopted
by the Association may be installed only if it is approved by the Association pursuant to Article V hereof.
Section 17. Basketball Goals. No basketball goals of any nature, whether stationary or portable, regulation
size or otherwise, shall be allowed in the street or public right of way. Only portable basketball goals shall
be allowed in side or front yards or driveways provided they are properly maintained in good repair and
conditions. Permanently installed goals must be placed in the back yard. Unsightly basketball goals
located in front and side years are subject to removal by the Association.
Section 17, Above -Ground Pools. There shall be no above -ground swimming pools on any Lot. In -
ground pools are permitted and must be surrounded by at least a four (4) foot fence.
$getion l 8 Visual Obstructions at intersections of Streets. No objector thing which obstructs sight lines
at elevations between two (2) and six (6) feet above the roadways within the triangular area formed by the
junction of street curb lines and a line connecting them at points twenty-five (25) feet from the junction of
the street curb lines (or extension thereof) shall be placed, planted or permitted to remain on any corner
Lots.
Section 19. Water Retention Areas. The Association shall be responsible for maintaining the portions of
the storm water drainage system which are within the Common Area, including the water quality and
12

OX09856 10532
quantity standards of the approved plans, to the extent required by law. A drainage easement is hereby
dedicated to the Association for the purpose of maintaining the storm water system to meet water quality
and quantity design standards of the approved plans and�any future governmental laws, rules or regulations.
Each Owner of a Lot which borders a water retention area shall maintain any portion of that Owner's Lot
lying with a retention area free of debris but shall not remove any wetlands species or do anything that
would affect adversely water quality within the water retention area.
Swimming and bathing in water retention areas are prohibited. Docks or other structures shall not be
erected in water retention areas.
Section.20. G=gees. Garage doors shall remain closed at all times except when necessary for ingress and
egress.
Section 21. Seasonal pr Holiday Decorations. Holiday decorations (e.g., Christmas trees and lights,
pumpkins, Easter decorations) shall be removed from each Lot or residential dwelling within a reasonable
period of time after such holiday passes. The Association has the sole discretion to determine what a
reasonable period of time is for seasonal or holiday decoration to exist after the holiday or season passes
and its determination shall be final.
Section 22. Service Utilities, Fuel Tanks. Wood Pilos, TF soh. All service utilities, fuel tanks, wood piles
and trash and garbage containers are to be enclosed within a fence, wall or plant screen of a type and size
approved by the Declarant or the ARC, so as to preclude the same from causing an unsightly view from
any highway, street or way within the subdivision or from any other residence within the subdivision.
Section 23. Noise. Each Lot Owner covenants and agrees that he will control the noise level emanating
from any activities on the lot at a reasonable level. The Lot Owner shall not allow the noise level to become
a nuisance or to otherwise interfere with adjoining Owners' reasonable use of their lots.
Sgctjon 24. Diligent Construction. Unless otherwise agreed by Declarant, or the ARC, all construction,
landscaping or other work which has been commended on any Lot must be continued with reasonable
diligence to completion. No partially completed building or other improvement shall be allowed to exist
on any Lot, except during such reasonable period as is necessary for the completion of same.
Sect/ n 25. Casually: Obligation to Re -construct or Raze. If any structure is significantly damaged or
destroyed by fire or other casualty, then the Owner thereof shall promptly repair or rebuild said structure
or shall promptly raze the damaged improvements and clear all debris from the Lot. If this Section is not
complied with, then the Declarant (until the expiration of the Period of Declarant Control) and/or the
Association shall have the right to raze the damaged improvements and clear all debris from the Lot and
levy a special assessment to any such Owner for the cost thereof, which shall be a lien upon the Lot until
paid in full.
AR TICLE VI
STORM)MATER RESPONSIBILITIES AND COVENANTS
Section 1. Covenants. The following covenants are intended to ensure ongoing compliance with State
Stormwater Management Permit Number SW6140902, as issued by the Division of Water Quality under
the Stormwater Management Regulations. The State of North Carolina is made a beneficiary of the
covenants in this Article VII to the extent necessary to maintain compliance with the stormwater
management permit. These covenants are to run with the land and be binding on all persons and parties
13

BK09856 P00533
claiming under them. The covenants pertaining to stormwater in this Article VI may not be altered or
rescinded without the express written consent of the State of North Carolina, Division of Water Quality.
Alteration of the drainage as shown on the approved plans may not take place without the concurrence of
the Division of Water Quality. The maximum built -upon area per Lot is as listed below:
Lot # BUA
All Lots 4,000 sf
This allotted amount includes any built -upon area constructed within the Lot property boundaries and that
portion of the right of way between the front Lot line and the edge of the pavement. Built -upon area
includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina, and parking
areas, but does not include raised, open wood decking or the water surface of swimming pools. Each Lot
will maintain a 30 foot (30') wide vegetated buffer between all impervious areas and surface waters. All
runoff from the built -upon areas on the Lot must drain into the permitted system. This may be
accomplished through a variety of means, including roof drain gutters, which drain to the street, grading
the Lot to drain toward the street, or grading perimeter swales to collect the Lot runoff and directing them
into a component of the stormwater collection system. Lots that will naturally drain into the system are not
required to provide these measures.
;Section 2. Operation and Maintenance Agreement. The Stormwater Agreement for Blackbridge Village
is attached hereto as Exhibit A and incorporated herein by this reference.
ARTICLE VII
MEMBERSHIP AND -1
]2 IN THE ASSOCIATION
Section 1. Membership, Every Owner, upon acquiring title to a Lot subject to assessment by the
Association, shall be a member of the Association and shall remain a member until such time as his
ownership of such Lot ceases for any reason, at which time his membership in the Association shall cease.
Each Member shall pay the Assessments provided for in Article Vill when due and shall comply with the
Association's decisions. Membership shall be appurtenant to and may not be separated from ownership of
any Lot which is subject to assessment.
Section 2. Classes of Membership. The Association shall have two (2) classes of voting membership:
(a) Class A Members. Every person, group of persons, or entity which is a record Owner of a fee
interest in any Lot shall automatically be a Class A Member of the Association, except the
Declarant during the Period of Declarant Control; provided, however, that any such person
group of persons, or entity who or which hold such interest solely as security for the
performance of an obligation shall not be a Member. Each Class A Member shall have one
(1) vote with respect to each Lot owned by such Member, except as set forth in Section 3 below.
In the event that more than one person, group of persons, or entity is the record Owner of a fee
interest in any Lot, then the vote for the membership appurtenant to such Lot shall be exercised
as they among themselves determine, but in no event shall more than one (1) vote be cast with
respect to any Lot. In the event agreement is not reached, the vote attributable to such Lot
shall not be cast.
(b) Class B. Members. The Class B Member during the Period of Declarant Control shall be the
Declarant. Declarant shall be entitled to nine (9) votes for each Lot is owns during the Period
of Declarant Control. The Class B Membership shall cease and be converted to Class A
14

OX09856 PO0534
membership upon the expiration of the Period of Declarant Control,
Section 3, Declarant'$ Voting Rights. Until the expiration of the Period of Declarant Control, Declarant
shall be vested with the sole voting right of the Association on all matters, including, without limitation,
election and removal of directors and officers of the Association.
Section 4._ Comp-uition ofBoard. The Association shall be governed by a Board of Directors as provided
for in the By -Laws of the Association. The Declarant shall have the right to appoint and remove all persons
on the Board and to appoint and remove all officers of the Association during the Period of Declarant
Control,
Section S. Cumulative Voting Prohibited. Each Owner shall be entitled to as many votes as equals the
number of votes he is ordinarily entitled to multiplied by the number of Directors to be elected, but may
not cast all of such votes for any one (1) Director and must distribute them among the number to be voted
for, and all votes must be cast in whole numbers and not fractions thereof. It is the intent of this Section
to prohibit cumulative voting.
Section b. Voting Rights Suspe sp inn. The right of any Class A Member to vote may be suspended by
the Board of Directors of the Association for any period during which any assessment against that Class A
Member remains unpaid or for any violation of the published rules and regulations of the Master
Association.
ARTICLE Vlll
COVENANTS FOR MAINTENANCE ASSESSMENTS
Section 1. Creation of the Lien and personal Obligation of Assessments. Each Class A Owner of a Lot,
by acceptance of a deed therefor, whether or not it shall be so expressed in such deed, is deemed to covenant
and agree to pay to the Association: (1) annual assessments or charges which are Common Expenses; (2)
special assessments for extraordinary maintenance, capital improvements, or other extraordinary common
charges or expenses; (3) special assessments for purchase, construction or reconstruction of improvements;
and (4) to the appropriate governmental taxing authority, a pro rata share of assessments for public
improvement to the Common Area if the Association shall default in payment thereof. Upon default by
the Association in the payment to the governmental authority entitled thereto of any ad valorem taxes levied
against the Common Area or assessments for public improvements to the Common Area, which default
shall continue for a period of six months, each Owner shall become personally obligated to pay to the
County Tax Assessor a portion of such taxes or assessments in an amount determined by dividing the total
taxes and/or assessments due by the total number of lots or units in the Subdivision. If such sum is not paid
by the Owner within 30 days following receipt of notice of the amount due, then such sum shall become a
continuing lien on the lot of the then Owner(s), the Owner(s)' heirs, devisees, personal representatives and
assigns, and the County Tax Assessor may either bring an action at law against the Owner personally
obligated to pay the same or may elect to foreclose the lien against the property of the Owner.
The Association shall also have the authority, through the Board of Directors, to establish, fix and levy a
special assessment on any Lot to secure the liability of the Owner thereof to the Association arising From
breach by such Owner of any of the provisions of this Declaration which breach shall require the
expenditure of time and money or both, by the Association for repair or remedy.
Each Class A Ownercovenants, for himself, his heirs, successors and assigns, to pay each assessment levied
by the Association on the Lot described in such conveyance to him by the due date as established by the
Board, and further covenants that if said assessment shall not be paid within thirty (30) days of the due date,
the payment of such assessment shall be in default and the amount thereof become a lien upon said Owner's
15

BKO9856 P00585
Lot as provided herein and shall continue to be such lien until fully paid.
Section 2. Purpose of Assessments. The assessments levied by the Association shall be used exclusively
to promote the recreation, health, safety, and welfare of the residents of the subdivision; and, in particular,
but not limited to, for the acquisition, improvement and maintenance of services, amenities and facilities,
and for the use and enjoyment of the Common Area, including but not limited to, the cost of repairs,
replacements and additions, the cost of labor, equipment, materials, management and supervision, the
payment of taxes and public assessments assessed against the Common Area, the procurement and
maintenance of insurance in accordance with this Declaration, the employment of counsel, accountants,
managers, engineers, security personnel, and other professionals for the Association when necessary, the
payment for maintenance and operation, under the Stormwater Agreement and for street lights; the payment
of any assessments due pursuant to the Master Declaration; and such other needs as may arise.
Section 3 Regular Assessments, Initial Contribution to Working Capital: Fine Assessments. Until
December 31, 2016, the initial regular assessment shall be $150.00 annually based on the calendar year;
such annual assessment for each Lot shall commence at the time of the first conveyance of an improved
Lot (the "First Sale"), prorated on a calendar year basis. In addition, each Lot shall be assessed a onetime
or initial contribution to working capital fee of $125.00 at the time of the closing of the First Sale. This
one-time fee shall not be considered an advance of the regular or annual assessment.
Beginning January 1, 2016 and during the Period of Declarant Control, the Board of Directors shall adopt
an annual budget and fix the annual assessment.
After the Period of Declarant Control expires, the Board of Directors shall adopt a proposed budget at least
annually. Within 30 days after adoption of the proposed budget, the Board of Directors shall send a copy
of the proposed budget and shall give written notice to the Members of a meeting of the Members to
consider ratification of the budget, such meeting to be held not sooner than 10 days nor more than 60 days
after the mailing of such notice. Such meeting may, but need not be, combined with the annual meeting
of the Members. There shall be no requirement that a quorum be present in order to vote on ratification of
the budget. The budget shall be deemed ratified unless at that meeting Members having a majority of the
votes of the entire membership vote to reject the budget. Notwithstanding the forgoing, if the budget
provides for annual assessments not greater than 10% larger than the assessment in effect for the
immediately preceding year, such budget shall be deemed ratified unless Members having at least 80% of
the votes of the entire membership vote to reject the budget. If the proposed budget is rejected, the budget
last ratified by the Members shall be continued until such time as the Members ratify a subsequent budget
proposed by the Board. Any annual assessment ratified by the Members shall continue thereafter from year
to year as the annual assessment until changed by the Board and ratified by Members as set forth herein.
In addition, the Board of Directors, or any adjudicatory panel established by the Board, may levy a
reasonable Fine Assessment as a fine or penalty for violation of this Declaration. In addition, the Board
may enact additional fees for late payments, fees for providing written assessment certificates setting forth
all current and delinquent assessment charges, and fees to transfer ownership of a Lot upon the
Association's records.
Section 4. SRecial Assessments far Capital Improvements. In addition to the regular and fee assessments
authorized above, the Board may levy, in any assessment, year, a special assessment for the purpose of
defraying, in whole or in part the cost of any construction, reconstruction, restoration, repair or replacement
of a capital improvement upon the Common Area, any extraordinary maintenance or other expense,
including fixtures and personal property related thereto and any property for which the Association is
responsible provided that any such assessment shall have the assent of Members as provided in Section 3
above.
16

M H M,
Section 5. Replacement Reserve. Out of the Common Expenses assessment, the Board may create and
maintain a reserve fund for the periodic maintenance, repair, and replacement of improvements to the
Common Area which the Association may beQbtigated to maintain.
Section 6. Individual Asses§meat. In the event that the need for maintenance, repair or replacement of any
improvement on the Property, for which the Association has the maintenance, repair and/or replacement
obligation, is caused through the willful or negligent act of an Owner, his family, his pet(s), his tenant or
his guest, the cost of such maintenance, repairs or replacements shall be paid by such Owner. The Board
shall have the maintenance, repair, or replacement done, and the cost thereof shall be provided by the Board
to said Owner and shall be paid by said Owner within thirty (30) days thereafter, unless an earlier date is
otherwise set forth therein.
Section 7. pate of Commencement of Annual Assessmentst Due Dates. Annual assessments shall not
commence until the First Sale as set forth in Section 3(b) above. Written notice of the annual assessment
shall be sent to every Owner subject thereto. The due dates shall be established by the Board of Directors.
Section 8. Effect of Nonpayment of Assessments; Remedies of the Association. Any assessment not paid
within ten (10) days after the due date shall be delinquent, in default and shall incur such late charge as the
Board of Directors may from time to time establish, and if not paid within thirty (30) days after the due
date, shall also bear interest from the due date at the rate of eighteen percent (18%) per annum or at such
other reasonable rate set by the Association in its minutes, not to exceed the highest rate then permitted by
North Carolina law. The Association may bring an action at law or in equity against the Owner personally
obligated to pay the same plus interest, costs, late payment charges and reasonable attorneys' fees, and/or
foreclose the lien against the Lot for which such assessment is due. Interest, late payment charges,
reasonable attorneys' fees and the costs of such action or foreclosure shall be added to the amount of such
assessment. No owner may waive or otherwise escape liability for the assessments provided for herein by
non-use of the Common Area or abandonment of his Lot.
The lien herein granted unto the Association shall be enforceable pursuant to Chapter 47F of the
Planned Community Act of North Carolina ("PCA") from and after the time of recording a Claim of Lien
in the Office of the Clerk of Superior Court in the County in which the Lot is located in the manner provided
therefore by the PCA, which claim shall state the description of the Lot encumbered thereby, the name of
the record owner, the amount due and date when due. The claim of lien shall be recordable anytime after
thirty (30) days after the due date of the assessment or any installment thereof and the lien shall continue
in effect until all sums secured by said lien as herein provided shall have been fully paid. Such claims of
lien shall include all assessments which are due and payable when the claim of lien is recorded, plus interest,
costs, attorneys' fees, advances to pay taxes and prior encumbrances and interest thereon, all as above
provided. Such claims of lien shall be signed by an officer or agent of the Association. In any foreclosure
action, the Association shall be entitled to become a purchaser at the foreclosure sale. Upon full payment
of all sums secured by such claim of lien, the same shall be satisfied of record.
Section 9. Subordination of the Lien to Mort9gages, The lien of the assessments provided for herein shall
be subordinate to the lien of any institutional first mortgage on said Lot. Sale or transfer of any Lot shall
not affect the assessment Iien; however, the sale or transfer of any Lot pursuant to mortgage foreclosure or
any proceeding in lieu thereof, shall extinguish the lien of such assessments as to payments which became
due prior to such sale or transfer, but shall not abate the personal obligation of the prior owner. No sale or
transfer shall relieve such Lot from liability for any assessments thereafter becoming due or from the lien
thereof.
Section 10, Exempt Property. Any property dedicated to, and accepted by, a public authority and any
17

BK'09856 P00537
property owned by the Association shall be exempt from the assessments created herein. Notwithstanding
the foregoing, no land or improvements devoted to dwelling use shall be exempt from said assessments.
Section IL Miseellan�us.
(a) An Owner has the sole responsibility of keeping the Association informed of the Owner's
current address if different from the Lot owned. Otherwise, notice sent by the Association to
the Lot is sufficient for any notice requirement under this Declaration.
(b) The lien under this Article arises automatically and no notice of lien need be recorded to make
the lien effective.
(c) Any assessment otherwise payable in installments shall become immediately due and payable
in full without notice upon default in the payment of any installment. The acceleration shall
be at the discretion of the Board.
(d) The Association shall have the right in its discretion to contract with a professional property
management agency for the purposes of managing its affairs on behalf of the subdivision.
ARTICLE IX
RIGHTS AND RESPONSIBILITIEa QE ME ASSO9I61ION
Section I. Responsibilities. The Association shall be responsible for the following services:
(a) Exclusive management, control, and maintenance of the Common Area and shall keep the
Common Area in good, clean and proper condition, order and repair, whether or not title to
such Common Area has been formally conveyed to the Association; including, without
limitation, streets and roadways, landscaping, recreation area, storm water structural controls
and BMPs under the Stormwater Agreement, wet detention basins and other facilities located
on the Common Area;
(b) Payment of all costs, charges and expenses incurred in connection with the operation,
administration and management of the Common Area and the performance of the services
necessary or desirable in the judgment of the Board of Directors of the Association to carry out
the Association's obligations and business under the terms of this Declaration;
(c) Taking any and all actions necessary to enforce all covenants and restrictions affecting the
Property, and to perform any of the functions or services delegated to the Association in any
covenants or restrictions applicable to the Property, including but not limited to fining Owners
for violating some or for not properly maintaining their Lot;
(d) Constructing improvements on Common Area for use for any of the purposes or as may be
required to provide the services as authorized in this Article;
(e) Provision of administrative services including but not limited to insurance, legal, accounting
and financial, and communication services informing Owners of activities, notice of
meetings, referendums, etc., incident to the above -listed services, and payment of taxes and
other expenses; and
(f) Any other services necessary to perform its obligations hereunder.
18

BK09856 P00538
The powers of the Association shall be construed liberally and shall include, without limitation, all of the
powers set forth in Section 47F-3-102 of the Planned Community Act.
In the event the Association is unable or unwilling to perform any of the services listed above in a manner
satisfactory to the Declarant, the Declarant shall be and hereby is authorized to perform such services, at
the Association's expense, as long as such expenses are reasonable and necessary to carry out the Declaranfs
obligations under this. Declaration; provided, however, that the Association shall not be obligated to take
action to enforce any covenant, restriction or rule which the Board reasonably determines is, or is likely to
be construed as, inconsistent with applicable law, or in any case in which the Hoard reasonably determines
that the Association's position is not strong enough to justify taking enforcement actions. Any such
determination shall not be construed as a waiver of the right to enforce such provisions under other
circumstances or to estop the Association from enforcing any other covenant, restriction or rule.
aection 2,_Manager. The Association may employ and pay for the services of person or entity, including
the Declarant (the "Manager") to assist the Association in managing its affairs and carrying out its
responsibilities hereunder and such other persons or entities, including attorneys and accountants, as the
Association deems necessary or advisable, whether such persons or entities are engaged, furnished or
employed by the Manager or directly by the Association. The Association may enter into a Management
Agreement for such management services upon such terms as the Board of Directors may deem appropriate.
The payment of management fees due to the Declarant may, at Declarant's option, be deferred until such
later date as Declarant, in its sole discretion, deems appropriate. Furthermore, any management fees due
to Declarant may, at Declarant's option, be credited against any assessments due or to be coming due from
Declarant.
Section 3. Mortgage and Pledge. The Board of Directors of the Association shall have the power and
authority, to borrow money for use by the Association and to mortgage the property of the Association and
to pledge the revenues of the Association as security for such loans made to the Association which loans
shall be used by the Association in performing its authorized functions. The Declarant may, but shall not
be obligated to, make loans to the Association, subject to approval by the Declarant of the use to which
such loan proceeds will be put and the method by which such loans will be repaid and subject to a maximum
of loan amount approved by the Declarant, at interest rates acceptable to the Declarant.
Notwithstanding anything in this Declaration to the contrary, the Association shall not be allowed to reduce
the limits of the minimum regular annual assessment at any time there is outstanding any amounts due the
Declarant as repayment of any loans made by the Declarant to the Association.
ARTICLE X
DURATION AND AMENDMENT
The covenants and restrictions of this Declaration shalt run with and bind the land, and shall inure to the
benefit of and be enforceable by the Association, the Declarant or the Owner of any land subject to this
Declaration, their respective legal representatives, heirs, successors, and assigns, for a period of twenty-
five (25) years from the date this Declaration is recorded. Upon the expiration of said twenty -five-year
period this Declaration shall be automatically renewed and extended for successive ten-year periods unless
terminated or amended by a vote of the Owners. During the Period of Declarant Control, this Declaration
may be amended by the Declarant, without the consent or joinder of any other Owner or the Association.
Any such amendment shall be effective upon recording of same in the applicable public registry for
Cumberland County, North Carolina. Otherwise, this Declaration maybe amended asset forth in N.C.G.S.
§47F-2-117 except that neither the Association nor the Owners may amend this Article IX to diminish or
remove Declarant's powers hereunder.
ARTICLE XI
19

OK09856 P60539
ENFORCEMENT, SEVERABILITY AND INTERPRETATION
Section 1. Means onforcement. Enforcement of these Covenants shall be by any proceeding at law or
in equity, whether it be to restrain violation or to recover damages or to create any lien created by these
Covenants.
Section 2. SeverabiliW. Should any covenant or restriction herein contained, or any Article, Section,
paragraph, sentence, clause, phrase or term in this Declaration be declared to be void, invalid, illegal, or
unenforceable for any reason by the adjudication of any court or other tribunal having jurisdiction over the
parties hereto and the subject matter hereof, such judgment shall in no wise affect the other provisions
hereof which are hereby declared to be severable and which shall remain in full force and effect.
Section 2. Interpretation. In all cases, the provisions of this Declaration shall be given that interpretation
of construction which will best result in the consummation of the general plan of development of the
Property. The provisions of these Covenants shall be given full force and effect notwithstanding the
existence of any zoning or similar ordinance which allows a less restricted use of the Property.
Section 4. Authorized A,�,ctiog. All action which the Association is allowed to take underthis instrument
shall be authorized actions of the Association if approved by the Board of Directors of the Association in
the manner provided for in the By -Laws of the Association, unless the terms of this instrument provide
otherwise.
Section S. Tresaass. Whenever the Association, and/or the Declarant are permitted by these Covenants
to correct, repair, clean, preserve, clear out or do any action on any property or on the easement areas
adjacent thereto, entering the property and taking such action shall not be deemed a trespass.
Section 6. Conflict. In the event of any conflict between the provisions of this Declaration and any
applicable provisions of the Cumberland County Code of Ordinances, the provisions of the Cumberland
County Code of Ordinances shall control.
IN WITNESS WHEREOF, Declarant has caused this instrument to be executed the day and year
first above written.
[SIGNATURES CONTINUED ON NEXT PAGE]
20

OX09656 P0Q540
CAVINESS LAND DEVELOPMENT, INC.
r
By:
Name: Watson G. Caviness
Title: President
STATE OF NORTH CAROLINA
COUNTY OF CUMBERLAND
I certify that the following person(s) personally appeared before me this day and acknowledged
to me that he or she voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicated: Name of Principal: Watson G. Caviness
My commission expires:Vezge. 'r 440M,
2
/ Notary Public
Printed or Typed Name of Notary Public
rrtgll l rt,t+fr
j• �q�,,r
OOr
(A Ix no1314
deal)
+.. A . x
aLIC , w
r`
(NIP, Sr"

BX a 9 8 5 6 PO 0 5 4 I Permit Number: -5 W 6 1+ 09 02
(to be provided by DIVO
I i< i t 16 l 1 t� [drainage Area Number:_
;Infiltration Basin Operation and Maintenance Agreement,
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
lob in a known set location. Any deficient MOP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basal.
-- Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
-- No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— Tlne vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
iiMP element:
Potential roblem:
Maiv 1 will retnediate the roblem:
The entire BMP
Trash/debris is resent.
Remove the trash debris.
The perimeter of the
Areas of bare soil and/or
Rebrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer a lication.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
swale
a licable .
sediment off -site..
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
a livable .
Erosion is occurring in the
Regrade the stvale if necessary to
sivale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problenis with erosion.
Dorm S1 40I-infiltration Basin O&M-Rev.3 Pa,,e 1 of 3

OK09856 P0054,2
BMP element:
Potentialproblem:
How I will rmmediate the roblemr
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth,
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
revent future erosion problem.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a Iocation where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediate! .
Water is standing more than
Replace the top few inches of filter
5 days after a storm event,
media and see if this corrects the
standing water problem. If so,
rvegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to Eow on the embankment.
immediately.
An annual inspection by an
Make all needed repaim
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or re lace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733.1786.
Form SW401-Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number: S W� tt� O C1 t}
0o ba provides! hjl D111Q)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changers to the system or responsible party.
Prgject name: I3lackbrid e Village Subdivision
BAIP drainage ai-ea number:_]
1
Print name: Caviness Land Develo nment. Inc.- Watson Coviness. President
Title: Owner
Address: 639 Executive Place. Suite 400. )+avetteville NC. 28305
Phone:
Signature:
Date: 5
Note: The legally responsible parry should not be a homeo%vuers association unless more than SO% of
the lots have been sold and a resident ofthe subdivision has been narned the president.
I,�t hG 0% r-2. rht'../D . a Notary Public for the State of
A6P ALfig, , County of L r� �t do hereby certify that
__ Gi/Q.7 FO/t/ &IiAlE 9 personally appeared before me tltis�d
day of f hf. , 4o/6 , and acknowledge the due eXecution Of tile
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
,`1155k1111 ttit It/t
r IC
-6
r`I jf!!!klt555t1�'t'
SEAL
Form SW401-Infiltration Basin O&M-itcv.3
....... _.............._..............
Page 3 o f 3